DIANNA ROSE WHITE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049121090

License Status

NOT RENEWED

Business

First Name

DIANNA

Middle

ROSE

Last Name

WHITE

Business Name

DIANNA ROSE WHITE

Original Issue Date

05/20/1998

Effective Date

05/20/1998

Expiration Date

03/31/1999

City

WEST PEORIA

State

Zip

61604

County

PEORIA

Ever Disciplined

LastModifiedDate

10/17/2005